Skin Problems
 
Eczema / Skin Rash Treatment

» Eczema
1. WHAT IS ECZEMA?

Eczema or atopic dermatitis is a disorder which results in dry, itchy, red skin. There are many types of eczema and they all result in well known symptoms - intense itching, recurring red rash, dry and scaly areas. However, it does not mean that anyone who is itching suffers from eczema.

Eczema is mainly a childhood disease, and up to 1 in 5 school-age children in Singapore suffer from it. It is also more common among the Chinese and Malays.

2. WHAT CAUSES ECZEMA?

There is a genetic predisposition. Patients with eczema usually have family members who have eczema, asthma or allergic nose. You have a higher risk of getting eczema if one or both parents have eczema, asthma or allergic nose

3. IS FOOD A CAUSE OF ECZEMA?

Foods do not cause eczema. However, food allergies can make eczema worse. Children with eczema may have food allergies to milk and foods that contain milk, nuts, and shellfish.

4. WHY MUST I TREAT MY ECZEMA?

Eczema is not life-threatening but it disrupts you from leading a normal life. Itching can cause public embarrassment, and sleepless nights. Eczema flare-ups have caused its sufferers to miss school and work, and unable to attend to personal obligations. Constant scratching can lead to skin infections

With proper diagnosis and treatment, many children outgrow their eczema by age 2. About 50% of the children who get eczema will have it as an adult. The good news is that the eczema often becomes milder with age. There is no way to know whether eczema will go away or be a lifelong disease. This makes treatment very important. If you think you have eczema make an appointment to consult Dr Joyce Lim, a skin specialist, who will help you control your eczema and prevent or minimise flares.

Treatment consists of moisturisers and skin care, prescription creams and oral medication and lifestyle modifications

5. ARE THERE ANY TIPS TO PREVENT ECZEMA FLARE?
  • Avoid rough fabrics. Cotton and soft fabrics are best. Tight clothing should be substituted with looser clothing.
  • Take lukewarm baths with mild soap.
  • When drying, pat yourself dry with a soft towel. Do not rub your skin.
  • Apply moisturizer that contains ceramides or skin lipids immediately after bathing to ‘lock in’ moisture.
  • Avoid rapid changes of temperature.
  • Avoid activities that make you sweat profusely.
  • Remove carpets (for those with allergies). You may also want to keep your distance from pets (long-haired dogs and cats).
  • Relax whenever you can, to reduce stress-induced eczema
  • Avoid trigger factors in the environment like heat, dust, dry weather.
» Skin Allergy and Urticaria
1. WHAT IS SKIN ALLERGY?

Skin can be irritated by a variety of factors. These include heat, chemicals, medications, plants and infections.

When an allergen is responsible for triggering an immume response reaction, the skin rash is called an allergic dermatitis or eczema. The common allergens are nickel, perfumes, dyes, rubber and cosmetics.

2. HOW USEFUL IS SKIN ALLERGY TESTING?

Skin allergy tests are undertaken when there is a suspected allergen and the test is done to confirm the allergen

3. WHAT IS URTICARIA?



Urticaria or hives are itchy swellings on the skin. A hive often goes away in 24 hours or less. New hives may appear as old ones fade, so hives may continue to form for a few days or longer. A bout of hives usually lasts less than 6 weeks (acute hives) but sometimes they last longer (chronic hives). Hives may result in swelling of lips and eyelids called angioedema.

There are many trigger factors and they include
  • Foods: Citrus fruits, milk, eggs, peanuts, shellfish , preservatives, colouring
  • Medication
  • Insect bites and stings
  • Infections, including colds
  • Exposure to sun, heat, cold, water, pressure
  • Exercise
  • Stress
Treatment is to avoid trigger factors and oral medication like antihistamines or steroids
» Skin Rash : Psoriasis, Pityriasis Rosea, Lichen Planus
1. WHAT IS PSORIASIS?



Psoriasis is a chronic skin disease of the immune system. Skin cells grow too quickly (in days rather than weeks) and the skin cells pile on the skin surface. The psoriasis can be seen usually as raised red patches covered with slivery scales (plaque psoriasis). Sometimes numerous small red spot (guttate psoriasis) or pus- filled bumps (pustular psoriasis) may be seen. The nail (nail psoriasis) or joints or scalp (scalp psoarisis) may be affected. Psoriasis is not contagious

Treatment consists of prescription creams, oral medication, laser / light treatment, biologics.

Psoriasis is a chronic disease where most people may have it for life. Dr Joyce Lim will work with you to control the disease

2. WHAT IS PITYRIASIS ROSEA?



Pityriasis rosea is a scaly oval shaped skin rash which looks rose coloured or violet. The rash starts in a single patch, the herald patch, and within a week or two, smaller patches appear on the body and limbs. The face, scalp, palms and soles are usually not affected. The rash clears on its own after 6 weeks. Treatment is by oral medication or phototherapy

3. WHAT IS LICHEN PLANUS?

Lichen planus is an itchy rash seen on the wrist, lower back and shins and ankles. They appear as shiny, firm, and reddish purple bumps. Later the bumps form thick rough scaly patches. The nails, scalp, oral mucosa and genitals are often involved. Treatment is by prescription cream, oral medication and phototherapy
 
...................................................
290 Orchard Road
#11-16/20, Paragon Medical Suites
Singapore 238859
T : 6834 9159
Email: drjoyce@joycelim.com
 
...................................................
290 Orchard Road
#11-16/20, Paragon Medical Suites
Singapore 238859
T : 6834 9159
Email: drjoyce@joycelim.com